Comparative Study of Knowledge of Urban and Rural Mothers about Neonatal Care

Objectives: The purpose of this study is to assess and compare the knowledge about the neonatal care among the mothers in urban and rural area in district Ajmer province of Rajasthan Materials and methods: Comparative randomized descriptive study was conducted among mothers who willingly gave consent to participate in the study. A structured questionnaire were framed and mothers were interviewed, the answers were recorded. To judge the knowledge score of the mothers closed ended questions having four alternatives were also framed. One mark was allocated for correct response. Results: Among 5800 deliveries, 400 mothers (205 mothers were Urban and 195 mothers were from Rural area) were randomly selected. Mothers with Antenatal check-up had knowledge score of 61% compared to 24% who had no regular antenatal checkup. Knowledge about “Exclusive Breastfeeding” was 84.39% and 68.20% urban mothers and rural mothers and regarding adequacy was 73.17% in Urban and 44.61% in rural mothers. Knowledge about Hygiene was 89.75% and 53.33% in Urban and rural mothers. Skin care and baby bath was 28.29% and 18.46% in Urban and Rural mothers respectively. Knowledge about danger signs was 81.95% and 60% in Urban and Rural mothers respectively. Knowledge regarding immunization at birth was 70.7% and 35.89% in Urban and Rural mothers respectively. Conclusions: Main factors affecting the knowledge score of the mothers about neonatal care were Educational status and Antenatal checkup. Knowledge about adequacy of breastfeeding, Immunization at birth, Danger signs, Temperature maintenance and hygiene was less in rural mothers as compared to urban mothers.

Empowerment of Cadres in Early Detection of Danger Signs of Third Stage in Pregnancy

In general, family planning can be defined as an effort to regulate the number of pregnancies in such a way that it will have a positive impact on the mother, baby, father and family concerned and will not cause harm as a direct result of the pregnancy. Family planning is an attempt to regulate the population or the use of methods to regulate fertilization to help a person or family achieve certain goals. The purpose referred to here is an intentional arrangement of pregnancy by the family, which is not against the applicable laws or regulations and also the morals of Pancasila and for the welfare of the family. Giving understanding to couples of childbearing age that there are various kinds of contraceptives and their benefits, so that people can choose any contraceptive that suits the individual. With more benefits than side effects, especially to keep the pregnancy distance, and a prosperous family can be achieved. It is hoped that with careful family planning, pregnancy is something that is really expected so that it will avoid the act of terminating a pregnancy with abortion. Ciamis Regency is in the province of West Java, where the area is directly adjacent to two regencies, namely Banjar and Tasikmalaya. Its location in the center of the city makes the Benteng village not like a village in general.

The Effects of the Maternal Health Improvement Project in the Louga Region of Senegal

Maternal mortality remains a major global health challenge in sub-Saharan Africa. Senegal is one of the countries in the region that lagged behind in reaching the Millennium Development Goal 5, the deadline of which passed in 2015. The objective of this study was to assess the effects of information, education, and communication (IEC) activities conducted in Louga, Senegal. Community groups and facilitators conducted IEC campaigns, home visits, and various awareness-raising activities. This study used secondary data as part of the baseline and mid-term evaluations. Participants included women and men who had one or more children under five years of age. It was found that the level of awareness of at least three danger signs of pregnancy recognised by men significantly increased, and husbands/partners more frequently accompanied their wives during antenatal care in 2019 than in 2018. Women’s empowerment improved significantly in terms of women making their own health decisions, joining community decision-making associations or groups, and using contraception. This project indicates that policies and programs are needed to increase men’s involvement and empower women to further women’s reproductive health to achieve the Sustainable Development Goal 3 and reduce maternal mortality in Senegal.

Perubahan Pengetahuan Ibu Hamil Mengenai Tanda Bahaya Kehamilan Menggunakan Media Augmented Reality

The indirect cause of maternal death in Indonesia is “3T” factors, one of which is being late in knowing the danger signs of pregnancy. Health workers need to be aware of this because there is currently a pandemic that can make limited time for pregnancy checks. It can cause pregnant women to not have enough time for health education about the dangerous signs of pregnancy, so we need the right media for health education about danger signs of pregnancy. Industrial revolution 4.0 makes us unable to avoid using technology, including in the world of health. Augmented reality is part of it. It can be media for health education that you can use every time and everywhere with direct interaction. So, pregnant woman can use it to improve their knowledge. This study aims to determine whether there is knowledge improvement from pregnant women about danger signs of pregnancy after using augmented reality. This is a quantitative research with one group pre-post test design which requires 30 respondents. The result shows that there is an effect of augmented reality media on the knowledge of pregnant women about the danger signs of pregnancy in the form of increasing knowledge(p=0,001)

Mothers-in-law as Key Influencers: Study on a Radio Drama Intervention to improve Maternal and Child Health in Pakistan

Mothers-in-law play an integral role in promoting maternal and child health practices in rural Pakistan. This study discusses the design, implementation, and evaluation of a 25-episode radio drama featuring the mother-in-law as the primary influencer for maternal and child health practices. The radio drama was designed after an extensive pre-drama audience research comprising of 10 focus groups, and 14 in-depth interviews in Bagh and Mansehra. Post-drama evaluation comprised two focus groups in the target areas. The endline evaluation found that viewership of the drama improved communication between people of all age groups and social roles without offending their dignity, intelligence, and sense of tradition. Additionally, the findings showed that the audience demonstrated improvement in knowledge about danger signs for mother and child, as well as positive attitudes to seeking timely service from a trained healthcare provider. The study makes a contribution to existing health communication campaigns by introducing a culture-centric approach, through radio dramas, to influence mothers-in-law and consequently impact maternal and child health practices. Keywords: mother-in-law, radio drama, entertainment education, maternal health, child health, Pakistan

MENUJU KEHAMILAN YANG SEHAT DENGAN BEBAS ANEMIA DI ERA PANDEMI COVID-19

ABSTRAKMasa pandemi Covid-19 di Indonesia sangat berdampak di berbagai sektor layanan publik, terutama sektor layanan kesehatan khususnya pemanfaatan layanan Antenatal Care (ANC). Pemerintah merekomendasikan menunda pemeriksaan kehamilan ke tenaga kesehatan kecuali ibu mengalami tanda – tanda bahaya kehamilan. Terkait dengan kondisi ibu hamil tetap harus mendapatkan informasi yang adekuat dan terpantau kesehatannya maka diperlukan kelas ibu hamil guna meningkatkan pengetahuan tentang kehamilan, persalinan, nifas dan parenting. Pengabdian kepada masyarakat bertujuan untuk memberdayakan kelompok ibu hamil dalam meningkatkan pengetahuan dan merubah sikap dan perilaku ibu hamil agar memahami tentang kehamilan yang sehat tanpa anemia agar dapat mencegah komplikasi secara dini selama masa kehamilan dan dapat mempersiapkan persalinan normal, mengikuti protokol kesehatan secara optimal. Metode yang diberikan melalui edukasi interaktif, dengan pendekatan secara langsung, curah pendapat, ceramah, tanya jawab tentang pencegahan anemia pada kehamilan, diikuti 19 ibu hamil dibagi 2 kelompok di Puskesmas kecamatan Tanah Abang. Hasilnya menunjukkan bahwa terjadi peningkatan rata-rata skor pengetahuan sebesar dari 70,53±26,34 SD menjadi 88,94±14,48 SD. Kata kunci: anemia; ibu hamil; kelas ibu hamil. ABSTRACTThe Covid-19 pandemic in Indonesia has greatly impacted various public service sectors, especially the health service sector, especially the use of Antenatal Care (ANC). The government recommends postponing Antenatal Care to health workers unless the mother experiences danger signs of pregnancy. Regarding the condition of pregnant women, they still have to get adequate information and their health is monitored, so a class for pregnant women is needed to increase knowledge about pregnancy, childbirth, postpartum and parenting. Community service aims to empower groups of pregnant women in increasing knowledge and changing attitudes and behavior of pregnant women in order to understand about a healthy pregnancy without of anemia in order to prevent complications early during pregnancy and be able to prepare for normal delivery, following health protocols optimally. The method provided was through interactive education, with a direct approach, brainstorming, lectures, questions and answers about preventing anemia in pregnancy, followed by 19 pregnant women divided into 2 groups at the Tanah Abang sub-district health center. The results showed that there was an increase in the average knowledge score from 70.53±26.34 SD to 88.94±14.48 SD. Keywords: anemia; pregnant women; class of pregnant women.

Evaluation of the Impact of Maternal Training on Knowledge of Danger Signs in Sick Newborns and Health Seeking Behaviors Among Mothers in Enugu, South-east Nigeria- a Pre-and-post Interventional Study

Background: During the early weeks of life, the signs/symptoms of serious illness can be subtle, thus careful watching is crucial. The World health Organization has recognized nine “danger sign” which are closely associated with morbidity and mortality when not recognized early and given adequate care. This project was undertaken to assess mothers’ knowledge of these danger signs and health seeking behavior before and after training on newborn danger signs.Methodology: This community-based interventional study was carried amongst women in two rural communities of Enugu State. Participant’s knowledge of danger signs and care seeking behaviors were obtained using an interviewer administered questionnaire before and after training on the danger signs newborns using videos from the Integrated Management of Childhood Illnesses (IMCI). Pre- and post-training data were collated for analysis and comparison using SPSS version 20.Results: A total of 197 women were enrolled for the study. Among the socio-demographic indices examined, only the number of newborns nursed in the past significantly determined knowledge of danger signs in the sick newborn (P=0.032). Prior to the training, 47% of respondents could not recount offhand any danger sign compared to 1.5% after the training (P=0.001). Knowledge of up to 3 danger signs significantly increased after the training (P = 0.001) and participants who admitted seeking medical help within 24 hours of noticing any danger signs in newborn also significantly increased, (P= 0.043).Conclusion: Our study documented a strong impact of training of mothers on their knowledge of danger signs in the sick newborns and on their healthcare seeking behavior. Therefore, training and retraining of mothers and/or care givers could help improve newborn care and reduce overall infant mortality

“Taking Care of Your Pregnancy”: A mixed-methods study of group antenatal care in Kakamega County, Kenya

Background Traditional antenatal care (ANC) models often do not meet women’s needs for information, counseling, and support, resulting in gaps in quality and coverage. Group ANC (GANC) provides an alternative, person-centered approach where pregnant women of similar gestational age meet with the same health provider for facilitated discussion. There are few studies that show associations between GANC and various outcomes. Methods We used mixed methods to evaluate a contextualized GANC model (Lea Mimba Pregnancy Clubs) and to understand implementation experiences at six health facilities in Kakamega County, Kenya. Between April 2018 and January 2019, we tracked 1,652 women who were assigned to 162 GANC cohorts to assess ANC retention. Using an intention-to-treat approach, we conducted baseline (N = 112) and endline surveys (N = 360) with women attending immunization visits to assess outcomes and used time diaries to assess wait times. At endline, we conducted 29 in-depth interviews (IDIs) and three focus group discussions with women who were currently and previously participating in GANC, and 15 IDIs with stakeholders. Results GANC was associated with enhanced social support, with some evidence for improved knowledge, adoption of healthy behaviors, enhanced self-efficacy, and improved experience of care. Quantitatively, we found strong associations between GANC and knowledge of danger signs, women who shared their feelings with other women, knowledge and competence of health workers, respect shown by ANC providers, overall quality of care, and birth preparations; as well as an improvement in ANC retention. No changes were seen in knowledge of positive behaviors, empowerment, several aspects related to women’s experience of care, ANC retention, early initiation of ANC, and other healthy behaviors. Qualitatively, women and stakeholders noted improved interactions between health providers and women, improved counseling, increased feelings of empowerment to ask questions and speak freely, and strengthened social networks and enhanced social cohesion among women. Both wait times and counseling times increased in GANC compared to traditional ANC. Conclusions This is one of the few mixed-methods studies evaluating GANC and offers new measures for experience of care, empowerment, and adoption of healthy behaviors. While more research is required, GANC holds promise for enhancing women’s experiences during pregnancy. Modifications are needed for sustainability and scalability.